加味温经汤治疗原发性痛经的临床研究-中医妇科学专业论文.docxVIP

掇要褒察蕊馥瀣经汤治疗蘸茇瞧臻经翡疗效，并攘讨其发病掇理。整繇铡殿发性瘭 掇要 褒察蕊馥瀣经汤治疗蘸茇瞧臻经翡疗效，并攘讨其发病掇理。整繇铡殿发性瘭 经病人随机分为治疗缀(33例，翻暇加睬温经汤)和对照组(30倒，翻暇少骏逐瘀 汤)，观察治疗前后临床症状改誊情况，m清雌二醇(E2)、孕酮(p)、前列脓索PGF2 。、经血中PGF2。、子宫m供、』缸液流变性等指标的变化，并比较与20例正常组问的 差异。结果表明，治疗组的近期愈慰率为75 76％，对照组为63．33％，菱界无悬著性 (P0．05)，治疗组的远期愈髓率为72．73％，对照组为43．33％，菱辩有鼹著性 (PO．05)。与正常组比较，原发憾痛经患者经血中存在高浓度的PGF2。，蘸体末期 E2蘧偏离，P值偏低，经前孑富渤躲赧滚隈力掇大，血液存在高凝聚状态。滚疗螽， 鑫矮捡溺结粟及患者爨症状均瓷不强疆瘦夔改善，茏其蹩治疗缝嚣2，经擞中PGF2。 委接近正零组。寡发往臻经毖者缀魅中PGF2。升高，盘滚存在毫凝聚狻态。造成强土 的原因可髓与黄体末期E2升高，P酶低有关，加昧温经汤对E2的调节鬓加有效。 关键词加昧温经汤；原发性瘸缀；肾虚寒凝血瘀； 临床研究；机理探}寸 Clinical Clinical Study on the Treatment of Primary Dysmenorrhea with Jiaweiwenjing Decoction Speciality：Gynecology ofTraditional Chinese Medicine Graduate：Dong Cuilan Tutor：Prof Lv Mei Abstract To observe the effect of Jiaweiwenjing(JWWJ)decoction to treat Primary Dysmenorrhea(PD)and to explore PD’s mechanism，63 patients were divided randomly into treatment group(33 cases，treated诚氇JWWJ decoction)and control group(30 cases， treated with Shaofuzhuyu decoction)．Before and after treatment，the clinical symptoms， serum estradiol(E2)progesterone(P)，seruin prostaglandinF2 a(PGF2。)，menstruation PGF2 a the blood supply of uterus and the flow of blood were observed．All the result were compared between the patients and normM people(20 cases)．The near recoverable and remarkable rate of the treatment group was 75．76％，while that of the control group was 63．33％．But the difference was not significant(PO．05)．The far recoverable and remarkable rate of the treatment group was72．73％，while that of the control group was 43．33％。The difference was sigrtificant(P0．05)．Compared with the normal people，the density of PGF2。Was high in menstruation．E2 Was hi酶and P Was low in luteum final phase．Blood force of resistance in uterine artery heightened before menstruation．Blood condensed highly．After treatment all the detected items and the symptoms had been improved，especially E2，menstruation PGF2。of the treatment group were near to that of the normal group．Menstruation PGF2。is high and